Nursing Elites

1. T cells in the immune system can be categorized into different types. What type of T cell directly kills infected body cells?

• A. Helper T cells
• B. Cytotoxic T cells
• C. Regulatory T cells
• D. Memory T cells

Correct answer: B

Rationale: Cytotoxic T cells directly kill infected body cells. These T cells recognize and destroy cells that are infected with viruses or other pathogens. They are crucial for eliminating threats within the body. Helper T cells, on the other hand, assist in coordinating the immune response by activating other immune cells. Regulatory T cells help maintain immune tolerance and prevent autoimmune reactions. Memory T cells are responsible for 'remembering' specific pathogens to mount a faster and stronger immune response upon re-exposure. Therefore, cytotoxic T cells are the correct answer as they directly target and kill infected cells.

2. Which of the following guidelines should be least considered in formulating objectives for

• A. Written nursing care plan
• B. Holistic approach
• C. Prescribed standards
• D. Staff preferences

Correct answer: D

Rationale: When formulating objectives for a written nursing care plan, staff preferences should be least considered. Objectives should be based on patient needs, evidence-based practice, and professional standards rather than personal preferences of the staff. Prescribed standards ensure quality care and adherence to best practices. A holistic approach considers the whole patient, including physical, emotional, and spiritual aspects. Staff preferences may introduce bias and should not dictate patient care objectives.

3. What is the term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues?

• A. Inhalation
• B. Exhalation
• C. External respiration
• D. Internal respiration

Correct answer: D

Rationale: The correct answer is D: 'Internal respiration.' Internal respiration refers to the process where oxygen is exchanged for carbon dioxide between the blood and the body tissues at the cellular level. Inhalation (A) and exhalation (B) pertain to the movement of air into and out of the lungs. External respiration (C) involves the exchange of gases between the lungs and the bloodstream. Understanding internal respiration is crucial as it directly impacts the body's ability to supply oxygen to tissues and remove carbon dioxide, which is essential for cellular function and overall health.

4. Which structure in the heart is responsible for preventing the backflow of blood from the left ventricle into the left atrium?

• A. Aortic valve
• B. Pulmonary valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: D

Rationale: The correct answer is D, the Mitral valve. The Mitral valve, also known as the bicuspid valve, is located between the left atrium and left ventricle in the heart. It consists of two cusps that close tightly when the left ventricle contracts, preventing the backflow of blood into the left atrium. The aortic valve (option A) is responsible for preventing the backflow of blood from the aorta into the left ventricle, not the left atrium. The pulmonary valve (option B) prevents backflow from the pulmonary artery into the right ventricle, and the tricuspid valve (option C) prevents backflow from the right ventricle into the right atrium. Therefore, the Mitral valve is specifically responsible for preventing backflow from the left ventricle into the left atrium.

5. What is the protective sac surrounding the testes in the male reproductive system?

• A. Vas deferens
• B. Scrotum
• C. Epididymis
• D. Urethra

Correct answer: B

Rationale: The correct answer is B: Scrotum. The scrotum is the protective sac surrounding the testes in the male reproductive system. It houses and protects the testes, helping to regulate their temperature for optimal sperm production. The vas deferens is a duct that carries sperm from the testes to the urethra. The epididymis is a coiled tube where sperm mature and are stored. The urethra is a tube that carries urine from the bladder and semen from the reproductive system. Therefore, the scrotum is the specific structure that directly surrounds and protects the testes in the male reproductive system.

6. Kathleen knows that one of her staff is experiencing burnout. Which of the following is the

• A. Advise her staff to go on vacation.
• B. Ignore her observations; it will be resolved even without intervention
• C. Remind her to show loyalty to the institution.
• D. Let the staff ventilate her feelings and ask how she can be of help.

Correct answer: C

Rationale: The correct answer is C: 'Remind her to show loyalty to the institution.' When an employee is experiencing burnout, it is important for the supervisor to address the issue with compassion and support. Reminding the staff member to show loyalty to the institution can help them feel valued and appreciated, which can contribute to their overall well-being. This response emphasizes the importance of fostering a positive work environment and promoting a sense of belonging. Options A and B do not address the root cause of burnout and may not effectively support the staff member. Option D, while encouraging communication, does not address the loyalty aspect which can be crucial in improving morale and reducing burnout.

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